HomeMy WebLinkAboutBuilding Permit 03-1314
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10- )..)-~
ADDRESS
~7~,L
/7() ~ .s,,-
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-3-f}/'I
,
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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!1YWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK.~L FOR REINSPECTION BEFORE COVERING
Inspector: f I/f' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9. 29. ().3
(Please type or print and sign at bottom)
ADDRESS
37~Z, 4-, &1 ~
I. White File
2. Pink City
3. Yellow Applicaot
PERMIT NO. ()3 -13 I~
/70771 ~/. S.vJ.
LEGAL DESCRIPTION (office use only)
LOT / BLOCK / ADDITION WU f bOG(; e;rm J &-1
OWNER
(Name)
(Address)
(Phone)
BUILDER /J /J l J
(Name) /1 (2t-"1Ql4". 41;;; b","~ iT r- ~h~
(Contact Name) 11~1c~ C
,
(Address) J '1 f~ ! 65 It, ~/ 5.h~ i i#11~
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone)
(Phone)
h~
DDeck
. /
~e-ROOfing
DAlteration
PROJECT COST/VALUE (excluding land) $
o Fireplace
DPorch
OAddition
ZONING (office use)
;(:.,2-
PID "Zs.2-+7. ()~ /. ()
Ljv5- ~2C:il 9'
~~}/t
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-m tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ~e p~ to needed inspections.
X / i,. 9- 27 - D"5
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
7- I 50 o. c..>z)
,
This Application Becomes Your Building Permit When Approved
Building Official
Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid 7(, . (/V
Date 1.~ p _Il)
#
#
#
#
Date
$
$
$
$
$
$
$
$
$'l(,.{/V
-
I J ~
Rec6f,t No. ~t 91'
By(v.
o
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372